Individual
MR. GORDON FREDRICK SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2593 US HIGHWAY 2 E, SUITE 6, KALISPELL, MT 59901-9507
(406) 257-0933
(406) 257-3426
Mailing address
2593 US HIGHWAY 2 E, SUITE 6, KALISPELL, MT 59901-9507
(406) 257-0933
(406) 257-3426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1227
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150880200
DEPT OF LABOR
MT
05
—
3400488
—
MT
01
—
60466
BC BS
MT
Enumeration date
11/07/2006
Last updated
06/20/2013
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